Individual
MARY AMBER JEPPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2700 STATE ST, BISMARCK, ND 58503-0669
(701) 712-4500
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
200473
ND
363LP0200X
Pediatric Nurse Practitioner
841783
NV
Other
Enumeration date
02/11/2019
Last updated
09/26/2024
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